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TOWN OF SOUTSOLD
BUILDING DEPARTMENT
Town Clerk's Ollioe
Southold, N. Y.
Certificate Ctf Occupancy
No. Z.lal.8.3. Date ..............2.~~....~T, 19~y.
THIS CERTIFIES that the building located at . ~ ? 5 K ~ V ~ ~ Bi rrc M A V k
................'Stl22S
6o~s~ BAY e~ 222- 2~
Map No..... ~ .~.7. (s . lock No.....- ...Lot No. 5.. Z.y~ Z H. 7 `1. .
&-EXiSr~wG- Bu~~-pi~iG-..........
conforms substantially to the Apglication for heretofore filed in this office
dated ~ ..O.CT, 197 .
dated , 19 wes-iesaed, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .....,A...0 N E....i-t\ C'1.~..t~~ ~ t+l E L. L_ ? n i cam- .
The certificate is issued to M A iZ"r E. ~~.N E S k H R E N~ E i C H
(owner, lej
of the aforesaid building.
Suffolk County Department of Health Approval N - K
UNDERWRITERS CERTIFICATE No. /.i . ~
HOUSE NUMBER ......-1. ~ .=1... Street ....Q ~ K..... ~ V E N U C
SOU7Hc~?-rte
,~~/1.~
Building Inspector
HOUSING CODE INSPECTION
October 23, 1974
725 Oak Ave.,R-1
Southold, New York
Sub-Division: Goose Bay Estates
Lots 222 to 1/2 of 224 inclusive,
1/2 of 241 to 1/2 of 247 inclusive
Tax Roll: Martin Ehrenreich & wife
Occupied
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this one story framed dwell-
ing and found the following violations of the Housing Code, Chapter
52, Town of Southold, New York. I was admitted to the building by
Mrs. Ehrenreich and began my inspection at approximately 10:30 A.M.
The dwelling consists of two bedrooms, kitchen, dining"room,
living room, enclosed porch and a full bathroom. A warm air space
heat furnace is located in full cellar with heat supply register
in living room floor. The rest of the rooms have electric heat.
Cellar: paints, laquers and volatile oils are being stored
in closet under stairway to first floor. Art. IV,
Section 52-4~,.A':B.
Hot water heater-leaking-wet area of cellar floor
at base of unit. Art V., Section 52-51, A-2
Accessory structures consists of a two car garage with
attached shower wash room and tool shed. Also a Gazebo~r ~9 s,~iv,~v~ir
All buildings and open yard area are well maintained. pj~~,~~
Inspection completed at approximately 10:50 A.M.
R p t 1 submitted,
dwar ndermann
Buil ing Inspector
EH:jk
FORM NO. 8
TOWN. OF SOUTHOLD
Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property wiTh accurate location of all buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusuol natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date ..October 7,,,,,1974...,,..,..
New Building Addition Old or Pre-existing Building ..x........... Vacant Land
Location Of Property ..S.autheaS.t~.~:?,y„side„of„Oak„Avenue,..,Southold, New York
Owner Or Owners Of Property ..,[yart.j,n„ aid„Agnes„ Ehrenreich,..... ,
.
222,223,1224, 242, 243, 244, 245,246,2241,
Subdivision .l~dB...S?.~..GRQ;i;~..Bay,,,EStates..,,,Lot No.'~24.7.... Block No House No.............
Permit No Date Of Permit ....................Applicant
Health Dept. Approval ............................................Labor Dept. Approval
Underwriters Approval ..............................................Planning Board Approval
Request For Temporary Certificate Final Certificate
Fee Submitted $ 5.00,,,,,,,,,,,,,,,,,,,,,,,,,,
Construction on above described buildin and r it t II r odes and regulations.
Applica .~Y~.
d lph H. B er
Sworn to before me this /P o?S -7
...7............ day of ...Aatab~x,...l.'~7.~k......... (stamp or seoq /~c X9379
c_ a z ~ie.3
Notary Public ......51~1~~R1.1S/J//.`~~.~./.J~.~.~C~ounty 1
LEFFERTS PAINE EDSON ' , L / ~
NOTARY PUBLIC, S+a+e of New York ~`--R._ (,~~y~
Nn. 52-' °77685 -Suffolk Caun+y
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